Optimization of novel indole-2-carboxamide inhibitors of neurotropic alphavirus replication

J Med Chem. 2013 Nov 27;56(22):9222-41. doi: 10.1021/jm401330r. Epub 2013 Nov 12.

Abstract

Neurotropic alphaviruses, which include western equine encephalitis virus (WEEV) and Fort Morgan virus, are mosquito-borne pathogens that infect the central nervous system causing acute and potentially fatal encephalitis. We previously reported a novel series of indole-2-carboxamides as alphavirus replication inhibitors, one of which conferred protection against neuroadapted Sindbis virus infection in mice. We describe here further development of this series, resulting in 10-fold improvement in potency in a WEEV replicon assay and up to 40-fold increases in half-lives in mouse liver microsomes. Using a rhodamine123 uptake assay in MDR1-MDCKII cells, we were able to identify structural modifications that markedly reduce recognition by P-glycoprotein, the key efflux transporter at the blood-brain barrier. In a preliminary mouse PK study, we were able to demonstrate that two new analogues could achieve higher and/or longer plasma drug exposures than our previous lead and that one compound achieved measurable drug levels in the brain.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / metabolism
  • Animals
  • Antiviral Agents / chemistry
  • Antiviral Agents / metabolism
  • Antiviral Agents / pharmacokinetics
  • Antiviral Agents / pharmacology
  • Blood-Brain Barrier / drug effects
  • Blood-Brain Barrier / metabolism
  • Cell Line
  • Drug Design*
  • Encephalitis Virus, Western Equine / drug effects*
  • Encephalitis Virus, Western Equine / physiology*
  • Humans
  • Hydrophobic and Hydrophilic Interactions
  • Indoles / chemistry*
  • Indoles / metabolism
  • Indoles / pharmacokinetics
  • Indoles / pharmacology*
  • Mice
  • Molecular Weight
  • Solubility
  • Structure-Activity Relationship
  • Virus Replication / drug effects*

Substances

  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Antiviral Agents
  • Indoles